1991, 02-15 Permit: 91000200 Sewer `'-
SPOKANE COUNTY DEPARTMENT OF
EPARTMENTOF BUULDKNGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom/vmut/»uvooxummoum/unmm/vu»nnoanon.omtomanhomm,munonvv"mmeumuanu,uummou»vmovnnvagennooumpxoaompermit/application is true
and correctand authorize Sokane Conty to proceed with processing. In addition, I have read o understandm INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
` �
ROJECT NUMBER= 91000200 DATE= 02/15/91 PAE= Oi 1
I��UED PEP��T �
**************************** PERMIT I is4rORMATION ****************************
%ITE STREET= ti.i i 2 E 19TH AVE - PARCE = 28542-2307
_ !
ADDRESS= SPOKANE WA 99206
PERMITUSE= SEWER CONNECTION - NORTH-KOKO� -
*** %EE Mn
NOTE *** . n `
PLATO= 001393 PLAT NAME= KOKOM TOWN%ITE '
BLG K= 7 G = 7ONE= SFR D7%T4= F /
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
OF BLDG%= i DWELLIH %=
. OWNER= WARNER RONALD & MARY PHONE=
STREET= iiii2 E 19TH AVE
, ADDRESS= SPOKANE WA- 99206
CONTACT NAME= JIM NIEL%ON PHONE NUMBER= 509 924 6077
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= J ,R IT CON%TRUCTION PHON�= 5O9 924 6077
%TREET= 10504 EVALLE;WAY AVE
/ ADDRESS= SPOKANE @A 99206
ITEM Ti %CRIPTION QUANTITY FEF
-------_~---------------- -------- ----------
PROCESSING FEE Y 10^ 00
� |
SEWER CONNECTION � • 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE PAYMENT AMnUNT
82/i5/9i 688 50.00
------------
T:TA[ DUE= :OO TOTAL PAID= 50 .00
� -
� PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- -_---------_
.
SEWER PERMIT 50 .00 50.00 . Vw
� . ------------- ------------ -------------
50 .00 50.00 / .�O
PR3CE%%ED BY ' JULIE %HATTO
PRINTED BY : JULIE '%HATTO
SEWER STUB A�-BUILT INFOR. �TION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPART�ENT ( 456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY nTHER
^ EXCAyATIGN
TO
ATE RBURIED CABLES,- GAS P
I9IN{ , WATER LINES,
CALL BEFORE YOUDIG (45 -8OOO)
SEWER STUBS ARE TO BE CHECKED PRIORTO C NNECTION TO 'INSURE
-� 7 THEY ARE CLEAR AND UNC&77R;CTED TO THE SEWER MAIN
FOR IN%PECtION PRIOR TO COVER **********
**** **** 24 H[X/R NOTICEREQUIRED ********** ~ ^ �
********* 456-3604 **********�� � ,
******************************** THANK YOU. *********************************
•
•
•
$
SPECIAL CONDITION CHECKLIST
Project
Address: - ____ �__ ^_ _ Project#�- �_______—_- w__Use: —___ __________
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
- __—___ _ Special Insp.Final Report_ —_ _
----__-.--__—_—_-- Hydrant ( ) _ __--_____
— ------ _ _ Lock Box._-- _.__ _ _ _
Engineer's_____ —_-- RID/CRP --_-.._.--
--- _- _---- Easements _---._ — --—
_____ _ Road Plans/Improvements _ — -
--_ Bonds — _— — _— -- ---
Planning — Bonds — —
Utilities Double Plumbing ---
- ULID — --
Other__ — — —
*--- "--*4**----THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""" "'""" " "
Date received for C/O processing: _ . Plans pulled for final processing: _ _ __ _._. ___
Temporary C/O issued: _ _ Certificate of Occupancy issued: ____ _._ ___ ______
Office file review by: —_._.__ Date:_ -
Filed insp finaled by:-- _ ___ Date: ------- ---
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: __ _ -- —_._._____.___. Date:___- ________._______.__ _-____________
Plans returned: — _ _____ -- —. Received by:_ __. —.__.__-- —_--- ___________ -----
No response from owner/contractor-plans destroyed:_ ________ _—__-_-- ----